*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D6869 - Other thrombophilia - as a primary diagnosis code | D6869 - Other thrombophilia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.95 | |
| Readmission Rate (%) | 26.18 | |
| Unplanned Readmission Rate (%) | 20.93 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 5,220 | |
| Total Hospitalizations with ICD D6869 - Other thrombophilia | 47 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD D6869 - Other thrombophilia in DRG | 50.54 | |
| Avg LOS at DRG | 6.42 | |
| Avg LOS with ICD D6869 - Other thrombophilia | 6.68 | |
| Readmission Rate at DRG | 28.76 | |
| Readmission Rate with ICD D6869 - Other thrombophilia | 32.56 | |
| Unplanned Readmission Rate at DRG | 19.73 | |
| Unplanned Readmission Rate with ICD D6869 - Other thrombophilia | 25.58 | |
| Total Medicare payments at DRG | $64,234,604 | |
| Total Medicare payments with ICD D6869 - Other thrombophilia | $554,040 | |
| Total Medicare payment per Day at DRG | $1,918 | |
| Total Medicare payment per Day with ICD D6869 - Other thrombophilia | $1,764 | |
| Total Medicare payment per Hospitalization at DRG | $12,305 | |
| Total Medicare payment per Hospitalization with ICD D6869 - Other thrombophilia | $11,788 | |
| Total Medicare Charges at DRG | $310,509,885 | |
| Total Medicare Charges with ICD D6869 - Other thrombophilia | $2,628,034 | |
| Avg Charges at DRG | $59,485 | |
| Avg Charges with ICD D6869 - Other thrombophilia | $55,916 | |
| Mortality Rate at DRG | 5.4 | |
| Mortality Rate with ICD D6869 - Other thrombophilia | NA | |
| SNF Discharge Rate at DRG | 19.56 | |
| SNF Discharge Rate with ICD D6869 - Other thrombophilia | NA | |
| Home Discharge Rate at DRG | 41.51 | |
| Home Discharge Rate with ICD D6869 - Other thrombophilia | 44.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D6869 - Other thrombophilia | 3,345 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D6869 - Other thrombophilia in DRG | 8.93 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D6869 - Other thrombophilia | 6.66 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D6869 - Other thrombophilia | 28.65 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D6869 - Other thrombophilia | 18.91 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D6869 - Other thrombophilia | $39,604,069 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D6869 - Other thrombophilia | $1,777 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D6869 - Other thrombophilia | $11,840 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D6869 - Other thrombophilia | $190,772,333 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D6869 - Other thrombophilia | $57,032 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D6869 - Other thrombophilia | 9.45 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D6869 - Other thrombophilia | 27.2 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D6869 - Other thrombophilia | 27.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD D6869 - Other thrombophilia | 770 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD D6869 - Other thrombophilia in DRG | 2.06 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD D6869 - Other thrombophilia | 3.84 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD D6869 - Other thrombophilia | 33.38 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD D6869 - Other thrombophilia | 11.03 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD D6869 - Other thrombophilia | $5,244,745 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD D6869 - Other thrombophilia | $1,774 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD D6869 - Other thrombophilia | $6,811 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD D6869 - Other thrombophilia | $29,278,162 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD D6869 - Other thrombophilia | $38,024 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD D6869 - Other thrombophilia | 2.34 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD D6869 - Other thrombophilia | 18.57 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD D6869 - Other thrombophilia | 32.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,433 | ||||
| Total Hospitalizations with ICD D6869 - Other thrombophilia | 556 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD D6869 - Other thrombophilia in DRG | 1.49 | ||||
| Avg LOS at DRG | 5.24 | ||||
| Avg LOS with ICD D6869 - Other thrombophilia | 5.42 | ||||
| Readmission Rate at DRG | 20.23 | ||||
| Readmission Rate with ICD D6869 - Other thrombophilia | 27.36 | ||||
| Unplanned Readmission Rate at DRG | 13.84 | ||||
| Unplanned Readmission Rate with ICD D6869 - Other thrombophilia | 19.49 | ||||
| Total Medicare payments at DRG | $734,471,819 | ||||
| Total Medicare payments with ICD D6869 - Other thrombophilia | $5,267,960 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD D6869 - Other thrombophilia | $1,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,131 | ||||
| Total Medicare payment per Hospitalization with ICD D6869 - Other thrombophilia | $9,475 | ||||
| Total Medicare Charges at DRG | $3,786,674,716 | ||||
| Total Medicare Charges with ICD D6869 - Other thrombophilia | $28,638,302 | ||||
| Avg Charges at DRG | $47,079 | ||||
| Avg Charges with ICD D6869 - Other thrombophilia | $51,508 | ||||
| Mortality Rate at DRG | 3.47 | ||||
| Mortality Rate with ICD D6869 - Other thrombophilia | 3.96 | ||||
| SNF Discharge Rate at DRG | 20.28 | ||||
| SNF Discharge Rate with ICD D6869 - Other thrombophilia | 18.71 | ||||
| Home Discharge Rate at DRG | 42.82 | ||||
| Home Discharge Rate with ICD D6869 - Other thrombophilia | 38.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D6869 - Other thrombophilia | 474 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D6869 - Other thrombophilia in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D6869 - Other thrombophilia | 3.66 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D6869 - Other thrombophilia | 19.54 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D6869 - Other thrombophilia | 14.02 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D6869 - Other thrombophilia | $2,862,466 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D6869 - Other thrombophilia | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D6869 - Other thrombophilia | $6,039 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D6869 - Other thrombophilia | $15,039,941 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D6869 - Other thrombophilia | $31,730 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D6869 - Other thrombophilia | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D6869 - Other thrombophilia | 14.14 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D6869 - Other thrombophilia | 60.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THOMAS MEMORIAL HOSPITAL | 4605 MACCORKLE AVE SW | SOUTH CHARLESTON | WV | 25309 | 4,665 |
| TANNER MEDICAL CENTER - CARROLLTON | 705 DIXIE ST | CARROLLTON | GA | 30117 | 2,588 |
| VIRGINIA MASON MEMORIAL | 2811 TIETON DR | YAKIMA | WA | 98902 | 2,012 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN MCDERMOTT | 3310 FALL HILL AVE | FREDERICKSBURG | VA | 22401 | 216 |
| Dr. MOHAMAD B. HAFFAR | 117 7TH AVE | SOUTH CHARLESTON | WV | 25303 | 204 |
| Dr. KURT ROLAND LARSON | 2800 WELLFORD ST | FREDERICKSBURG | VA | 22401 | 203 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSEPH B HESS | 1600 MEDICAL CENTER DR | HUNTINGTON | WV | 25701 | 376 |
| Dr. DAVID S MULLETT | 4605 MACCORKLE AVE SW | SOUTH CHARLESTON | WV | 25309 | 372 |
| Dr. ANANTHAN KRISHNATHAS | 4605 MACCORKLE AVE. SW | SOUTH CHARLESTON | WV | 25309 | 351 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z7901 | Long term (current) use of anticoagulants |
| 2 | T45515A | Adverse effect of anticoagulants, initial encounter |
| 3 | E785 | Hyperlipidemia, unspecified |